| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $9,388.66 | $9,388.66 | |
BCBS
| Facility | $4,977.14 | $18,250.21 | $29,738.47 | |
Providence
| Facility | $1,079.50 | $1,370.55 | $2,730.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |